Healing Tree Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC9915 Issued in CA

Legal business name

HEALING TREE CLINIC

Practice address

14785 Jeffrey Rd
Suite 109
Irvine, CA 92618-0408

Phone

(949) 559-3675

Fax

(949) 559-3631

NPI assigned

Oct 11, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shane Lee, L.AC.

Title

Co-Owner

Phone

(949) 559-3675

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1386996635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14785 JEFFREY RD",
            "address_2": "SUITE 109",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926180408",
            "telephone_number": "949-559-3675",
            "fax_number": "949-559-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14785 JEFFREY RD",
            "address_2": "SUITE 109",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926180408",
            "telephone_number": "949-559-3675",
            "fax_number": "949-559-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING TREE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "949-559-3675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31295",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ming He
• Jessica Head, BA
• Kinsey Lynn-Marie Head
• Heidi Nanette Headding, LMFT
• Healing Partners, Licensed Clinical Social Worker Apc
• Healing Tree Medical Management, Inc.
• Health Care Agency
• Health Psychology Associates
• Health Solutions Diagnostic Inc
• Health Solutions Medical Group Inc.

• Acupuncturist in Irvine, CA
• Providers in Irvine, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.